Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.71 / $25.82 / $116.03	Professional		$19.71	$25.82	$116.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.71 / $50.30 / $62.68	Professional		$37.71	$50.30	$62.68
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $19.82 / $30.25 / $133.80	Professional		$19.82	$30.25	$133.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $27.60 / $48.44 / $276.20	Professional		$27.60	$48.44	$276.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $29.00 / $43.54 / $56.45	Professional		$29.00	$43.54	$56.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.20 / $27.20 / $55.00	Professional		$27.20	$27.20	$55.00
United Facility/Professional Professional Modifier Low / Median / High Price $24.24 / $44.38 / $58.43	Professional		$24.24	$44.38	$58.43
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $33.72 / $42.70 / $50.20	Professional		$33.72	$42.70	$50.20